2 ways to act out - physical, verbal
CPI Verbal Escalation Continuum - 1. Questioning
2. Refusal
3. Release
4. Intimidation
5. Tension Reduction
use nonviolent physical crisis intervention - when? - last resort
this model used to guide staff through process of establishing therapeutic rapport
and staff debriefing - CPI coping model
model assists staff to recognize clients behavior level and intervene early and
appropriately - CPI Crisis Development Model
model demonstrates defensive behaviors and staff interventions for each
behavior - CPI Verbal Escalation Continuum
Philosophy of Nonviolent Crisis Intervention training model - care, welfare, safety,
security for all
CPI Crisis Development Model 1st step - anxiety -- supportive
CPI Crisis Development Model 2nd step - defensive -- directive
CPI Crisis Development Model 3rd step - risk behavior (acting out) -- nonviolent
crisis intervention
CPI Crisis Development Model 4th step - tension reduction -- therapeutic rapport
anxiety - noticeable change or increase in behavior
supportive - an empathic nonjudgmental approach
defensive - The beginning stage of loss of rationality.
directive - an approach in which a staff member takes control of a potentially
escalating situation
acting out - total loss of rational control that results in a physical acting-out
episode
Nonviolent Physical Crisis Intervention - safe, non-harmful restraint positions to
control an individual until he can resign control of his own behavior
tension reduction - Decrease in physical and emotional energy